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NPI Code Detail

MEDICARE: GLOVER DENTAL CENTRE' LLC

MEDICARE: GLOVER DENTAL CENTRE' LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251K00000XPublic Health or Welfare Agency011294GA

General Provider Information

NPI Number : 1376662254
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLOVER DENTAL CENTRE' LLC
Provider Business Mailing Address
First Line : 2607 GILLIONVILLE RD
Second Line :
City : ALBANY
State : GA
Zip : 31707-3003
Country : US
Telephone Number : 229-883-3443
Fax Number : 229-883-6755
Provider Business Practice Location Address
First Line : 2607 GILLIONVILLE RD
Second Line :
City : ALBANY
State : GA
Zip : 31707-3003
Country : US
Telephone Number : 229-883-3443
Fax Number : 229-883-6755
Authorized Official
Title or Position : OWNER
Name : DR. SONYA S. TAYLOR-GLOVER
Credential : DMD
Telephone Number : 229-883-3443
Provider Enumeration Date : 03/29/2007
Last Update Date : 08/22/2020

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Directions to “GLOVER DENTAL CENTRE' LLC ” Practice Location

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